Glasgow Coma Scale for Children

Spontaneous                          
To Verbal Stimuli                    
To pain Only                           
No response                                    

Oriented,appropriate              
Confused                                
Inappropriate words                
Incomprehensible sounds       
No response                           

Obeys commands                    
Localized painful stimulus        
Withdraws in response to pain
Flexion in response to pain *    
Extension in response to pain **
No response                            

-

Glasgow Coma Scale for Infants

Spontaneous                          
To Verbal Stimuli                    
To pain Only                           
No response                                   

Coos and babbles              
Irritable cries                               
Cries to pain              
Moans to pain       
No response                           

Moves spontaneously,purposefully
Withdraws to touch       
Withdraws in response to pain
Flexion in response to pain *     
Extension in response to pain **
No response                           

-

*   Fextion in response to pain = Decorticate posturing (Abnormal Flexion)
** Extension in response to pain - Decerebrate posturing (Abnormal Extension)

If the patient is intubated , unconscious , or rpreverbal - the most important
part of this scale is motor response.
This section should be carefully evaluated.

Modified from:
Davis RJ, et al. Head and spinal cord injury. In: Rogers MC,ed. Textbook of Pediatric Intensive Care.
Baltimore , MD: Williams Wilkins`1987.
James H, Anas N, Perkin RM. Brain Insults in Infants and Children. New York, NY: Grune & Stratton` 1985.
Moray JP , et al. Coma scale for use in brain-injured children. Crit Care Med. 1984`12:1018.
Reproduced from Hazinski MF. Neurologic disorders. In: Hazinski MF, ed.
Nursing Care of the Critically III Child. 2nd ed. St. Louis,MO: Mosby Year Book` 1992

AHA , American Academy of Pediatrics 1994 ; 8-3.    ISBN:  0-87493-635-7

Paramedic Neomi Zvi - Jan 2000